HomeMy WebLinkAbout210425 MY GUY HVAC SERVICES F29 national standard master mechanical testate. OFFICIAL RESULTS REPORT
F29 - National Standard Master
INTERNATIONAL Mechanical
CODE COUNCIL
Name: Mervin Walter Candidate ID: ICNON150397
Address: 1369 Airport Blvd, Date: 5/13/2019
Aurora CO 80011
EXAMINATION RESULT: PASS
Congratulations! You have passed the above-named examination. You will be able to verify your pass
status on the ICC website within 48-72 business hours after your exam. Please contact your
participating jurisdiction if you wish to pursue licensing.
A passing score on this examination satisfies the testing requirements for licensure only, and does not
' ----guarantee thatAcensing_wi[Lbe granted, The -candidate -must also satisfy all local_ ordinance_requirements-------
in
requirements—_--in each jurisdiction where licensing is desired.
It is extremely important that you notify Pearson VUE and ICC of any changes in name and/or address to
avoid the possibility of future correspondence not being received. Please contact both Pearson VUE at
877-234-6082 and ICC at 888-422-7233 ext. 5524 with changes to your name and address.
ICC reserves the right to amend or withhold any examination scores if, in its sole opinion, there is
adequate reason to question their validity.
The authenticity of this score report can be validated by using Pearson VUE's online Score Report Authentication found at:
www. Pea rsonVUE mm/authenticate
Digital embossing eliminates the possibility of unauthorized embossing of counterfeit score reports.
Registration Number: 354334196 Validation Number: 217445716
MYG UYHV-01
VCHOWDHURY
r
ACERTIFICATE OF LIABILITY INSURANCE
`••■--w�
DATE (MM/DD/YYYY)
5/2/2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT
NAME:
PHONE 283-0004 FAx303 420-2882
(aic, No, eXt): (303) (A/C, No):(303)
Mountain Insurance Brokers
3705 Kipling St # 106
Wheat Ridge, CO 80033
a �R�Ess: vchowdhury@dcinsurers.com
INSURERS AFFORDING COVERAGE
NAIC #
11/20/2022
INSURER A: Berkshire Hathway Guard Insurance Companies
42390
INSURED
INSURER B
GEN'L
X
INSURER C
$ 59000
My Guy HVAC Services, LLC
INSURER D
$ 190009000
25320 E Aberdeen Drive
Aurora, CO 80016
INSURER E
$ 290009000
INSURER F
$ 290009000
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
MYBP295373
11/20/2021
11/20/2022
EACH OCCURRENCE
$ 190009000
DAMAGE TO RENTED
PREMISES Ea occurrence
3009000
$
GEN'L
X
MED EXP (Any oneperson)
$ 59000
PERSONAL & ADV INJURY
$ 190009000
AGGREGATE LIMIT APPLIES PER:
POLICY PRO- LOC
JECT
OTHER:
GENERAL AGGREGATE
$ 290009000
PRODUCTS -COMP/OP AGG
$ 290009000
$
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY Perperson)
$
BODILY INJURY Per accident
$
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/ N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Cit of Wheat Rid
Y Ridge
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Wheat Ridge, CO
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
11 41
� City Of
�Wh6atpsjdge
MMUNITY DEVELOPMENT
7500 W. 291h Avenue * Wheat Ridge, CO 80033 * O: (303)235-2855 * F: (303)235-2857
Contractor Waiver for
Workers' Compensation Insurance
I, (print your name),
ervih vc�
verify that I am the sole owner or partner of (company name):
which has o employees and is not required by the State of Colorado to
carry workers' compensation insurance.
I further state that if I hire contractors/subcontractors, they are in
compliance with the State of Colorado Workers' Compensation insurance
requirements, have obtained the required contractor's license from the City
of Wheat Ridge pnd will be is donthe_permit.
Signature:
Date: ®� �-